Jennifer C. Bouwkamp-Memmer, Phd, LLC

NPI #1093041683 in Columbia, Missouri

Provider Information

NPI Number: 1093041683
Entity Type: Organization
Organization Name: Jennifer C. Bouwkamp-Memmer, Phd, LLC
Primary Specialty: Psychologist
Enumeration Date: Nov 2, 2009
Last Updated: Nov 2, 2009

Practice Location

Address: 5209 MEXICO GRAVEL RD
City: Columbia
State: Missouri
ZIP Code: 65202-6915
Phone: (573) 356-5045

Authorized Official

Name: DR. JENNIFER C. BOUWKAMP-MEMMER, PHD
Title: SOLE MEMBER/LICENSED PSYCHOLOGIST
Phone: (573) 356-5045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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